Quality Analyst is responsible to perform activities outlined in the Service Quality Plan and identify auditor / program level improvement opportunities. QA Analyst is required to work closely with the production resources to ensure adherence to
As a Medical Billing Coding Specialist , you will be responsible for reviewing patient medical records, assigning accurate codes to diagnoses, procedures, and services performed, and ensuring that all billing submissions comply with the relevant coding regulations and
-Bachelors degree holder -4-8 years of experience in healthcare revenue cycle management, with specific focus on coding and clinical denials, accounts receivable, and team leadership. -Deep understanding of medical coding (ICD-10, CPT, HCPCS) and clinical denials, payer medical necessity
Quality Analyst is responsible to perform activities outlined in the Service Quality Plan and identify auditor / program level improvement opportunities. QA Analyst is required to work closely with the production resources to ensure adherence to
Qualifications: -4-8 years of experience in healthcare revenue cycle management, with a specific focus on coding and clinical denials, accounts receivable, and team leadership. -Deep understanding of medical coding (ICD-10, CPT, HCPCS) and clinical denials, payer medical necessity policies,
Client Management: -Establish and maintain trusted client relationships as the primary point of contact for coding denials and hospital billing services. -Understand client challenges related to coding compliance and billing workflows and recommend tailored solutions. -Conduct regular meetings
About the Company Shearwater Health is a leading healthcare solutions provider, serving clients across the globe. We are dedicated to delivering high-quality, cost-effective medical coding and revenue cycle management services. Our mission is to empower healthcare organisations
Entry Level Risk Adjustment Medical Coder, RN, CPC | Midshift | WFH Job Summary We are seeking newly certified Risk Adjustment Medical Coders to join our team. The ideal candidate will be responsible for reviewing medical
The Complex Claims Specialist is responsible for reviewing and resolving high-complexity insurance claims, including escalations, disputes, and denied cases. This role involves analyzing medical and billing data, ensuring compliance with policies, and coordinating with multiple stakeholders
Key Responsibilities 1. Operational Leadership & Performance • Manage daily adjudication operations ensuring accuracy, productivity, and SLA attainment. • Oversee team performance through dashboards, scorecards, and KPI monitoring. • Lead daily/weekly huddles, coaching sessions, and escalations.
Monee is a leading digital payments and financial services provider in Southeast Asia, with a growing presence in Latin America. Its mission is to better the lives of individuals and businesses in the region with financial
Onsite (1Nito Tower, Cebu Office) Day 1 HMO Night Shift Responsibilities Lead and supervise team performance, focusing on productivity, quality, and attendance Conduct regular audits to ensure adherence to workflows and client satisfaction Identify and address
We are currently hiring Inpatient Medical Coders for our Cebu office. Registered Nurses who have recently acquired their CIC or CCS certification are encouraged to apply and start their coding career with us. General Summary: We are
We are hiring for Certified Medical Coders with risk adjustment experience to support growing operations. Whats in it for you? Work from home Competitive pay Certificate renewal coverage SIL with cash conversion HMO & Life Insurance
General Summary: We are currently seeking Auditor to support a growing client base while combining their clinical and/or coding expertise with payment accuracy. The Auditor is responsible for analyzing and interpreting and assign the correct codes for
JOB SUMMARY: As an Inpatient Medical Coder you will join a dynamic team of coding experts dedicated to delivering exceptional coding services to our valued clients. Your primary responsibility will be accurately assigning medical codes, ensuring compliance with
JOB SUMMARY: As an Inpatient Medical Coder you will join a dynamic team of coding experts dedicated to delivering exceptional coding services to our valued clients. Your primary responsibility will be accurately assigning medical codes, ensuring compliance with
What is an Inpatient Coder? An Inpatient Coder specializes in coding the medical records of patients who are admitted to hospitals or healthcare facilities for treatment. They are responsible for translating patients’ healthcare information, including diagnoses, symptoms,
Position Title: DRG Clinical Validation Auditor USRN with at least 2 years of bedside experience Candidates must have 1-2 years of hospital coding experience. One or more of the following certifications: Certified Documentation Improvement Practitioner (CDIP- AHIMA)
The Inpatient Medical Coder utilizes coding skills to work invoice reviews and provide expert advice to billing staff. Duties and Responsibilities Conduct audits and coding reviews to ensure all documentation is accurate and precise including our co-source partners